and anorexia nervosa [48,49]. In addition, the coexistence of bipolar disorder with an eating disorder has been reported to be associated with poor long-term outcomes and a severe disease course of bipolar disorder [49,50]. Alcohol use disorder and substance use disorder were seen in 8.4% and 12.5% of men, and 4.2% and 7.9% of women, respectively, in the general population [51,52], which is much lower than what is seen in the inpatient bipolar population in our study.
